The Wales Institute of Soft Tissue Therapy

TWISTT Education


The I.S.R.M. Part-time

BTEC Level 5 Professional Diploma in

Soft Tissue Therapy

A Career in Soft Tissue Therapy

A fulfilling new career as a Soft Tissue Therapist (STT). Treating people with muscle and joint pain and assisting them towards a better quality of life. Utilise a biopsychosocial approach to musculoskeletal issues that incorporates soft tisssue treatment and lifestyle based interventions.  Add a Side Hustle or make a complete change of career. Create a difference in the health and wellness sector.

Physiotherapists, Osteopaths, Chiropractors, Personal Trainers, Yoga Teachers & Massage Therapists

Increase your skill sets, learn new techniques; Soft Tissue Release, Muscle Energy Techniques, Myofascial Release, Positional Release, Joint Assessments, and so much more.  Continuing Professional Development hours and nationally recognised qualifications, delivered by professionals who are proficient in manual therapy and patient centred care. Enabling you to develop skills you can utilise for the rest of your life. Shorter courses available for practicing therapists. Based in Bangor, Gwynedd, Wales.



Unlock the beginnings of a New Career

Say Hello to THE NEW YOU

No prior experience or qualification required. TWISTT will assist you every step of the way from your present career to graduating with the nationally recognised BTEC Level 5 Professional Diploma in Soft Tissue Therapy (formerly Sport & Remedial Massage Therapy).

We enable you to become a confident, professional therapist adhering to the regulations of the ISRM for professional conduct.

No prior experience required

One workshop weekend a month for a year.

Home study of a minimum of 5 hours a week with 4 online assignments. A minimum of 100 practice treatments logged.

Tutor support and mentoring during and beyond the course.

Professional Qualification

ISRM BTEC Level 5 Professional Diploma,  ISRM and BTEC Registration & Emergency First Aid Qualification


Career Advice

Mentoring for all from practicing professionals.  Opportunities to to access the experience of a variety of professionals

CPD Workshops

On going learning for Physiotherapists, Chiropractors, Osteopaths, Pilates & Yoga Teachers, PT’s and Coaches.  Day or weekend courses on technique and health related topics.

Massage for all the Family

Workshops to teach you and your loved ones how to deliver relaxation massages

What is Soft Tissue Therapy?
Make a Career in Soft Tissue Therapy.

Soft tissue therapy in 2022 encompasses elements of sports massage therapy, exercise rehabilitation, psychosocial model and philosophy of treatment and musculoskeletal orthopaedic assessments as part of a comprehensive holistic view of the person to be treated.  The treatment caters for the needs of the person. See the video below by Mel Cash the originator of the BTEC level 5 accredited course in Soft Tissue Therapy.

Who can I help with STT?

As a Therapist you can help friends and family, go self employed or work for a private company. You can improve a lot of peoples muscle and joint pain by listening to the history of their issues, assessing their movements and, together, realising a plan to improve their situation. As a Soft Tissue Therapist, in the 21st century, hands on treatment only forms one part of the treatment. Understanding the persons’ particular lifestyle issues can assist in identifying the root cause of the problem. This is part of the Biopsychosocial approach of therapy.

Who can I treat?

You can study further and treat and specialise in populations that interest you. If you are a cyclist you could go on to be a Soigneur (Team Soft Tissue Therapist for Road Cycling Squads) or you could work within a multidsciplinary clinic of Doctors, Physiotherapists, Psychologists and other allied healthcare professionals. You could be involved in a specific sport or team. Or you could specialise in the treatment of particular diseases, adults, pediatrics or baby massage. You could go on to specialise in Equine and Canine Therapy. With the ISRM BTEC level 5 Professional qualification the world of therapy opens up for you.

What could I earn?

See the ISRM explanation of earning potential ‘How_much_can_you_earn_as_a_Soft_Tissue_Therapist?.

BTEC level 5 qualification

Comparable to the first year of university level the BTEC qualification could assist you to progress to degree level in Physiotherapy, Osteopathy, Sports Rehabilitation and Chiropractic.  This is one of the highest qualifications available and requires dedication and work. We are here to help you every step of the way.

Who will teach me on this course?

You will be taught by Soft Tissue Therapists, Osteopaths, Physiotherapists and a Performance Psychology Coach with a broad range of experiences and skill sets. They will all encourage you to be the best that you can be.

Outline of the full BTEC Diploma course delivered by TWISTT

The ISRM (Institute for Soft Tissue Therapists) BTEC Professional Diploma in Soft Tissue Therapy is delivered by The Wales Institute of Soft Tissue Therapy (TWISTT).  It is a part-time workshop based course held on one weekend per month over the course of approximately one year with home study required.  Twelve weekend workshops, plus one Saturday for final practical exam and the Sunday for an Emergency First Aid Qualification.  Full tutor support, efficient administration and call back.  For optimum tutor student ratios we limit places on the course to twenty, to allow for greater individual support from tutors.


4 online written assignments, minimum 100 practice treatments required outside of workshops, 3 case studies, 1 written exam and 1 final practical exam.

Investment is £3,300.00 including course delivery, BTEC, ISRM registration, exams and assignment marking and all equipment and sundries for the workshops and a First Aid Qualification and equates to approximately £300.00 per weekend.  You will need to fund your own living and travel expenses.  To secure a place on the course we require a non-refundable deposit of £500.00 followed by £1,400.00 14 days prior to start of your course and then a final payment of £1,400.00 by workshop 3 of the course. Other ways to pay can be discussed. Please see more information under courses.




“I highly recommend Zac as an instructor; I was one of his students on the RAF LSSM Sports & Remedial Massage Diploma course Feb 2014-Feb 2015.  I had no previous background in sports therapy and initially felt overwhelmed with information overload.  Zac’s lessons really helped me focus; he’s full of knowledge and experience, but shares it at a good pace by being receptive to his audience.  Zac is engaging and his lessons were always fun and informative”

“I first met Zac in 2011 with an interest in pursuing a career in soft tissue therapy.  Zac, always willing to help and educate, invited me to shadow a treatment and then spoke extensively about careers is this field. He was my lead tutor at the LSSM North Wales School where his lecture style was very engaging.”

“Zac is an engaging teacher, full of enthusiasm  and able to communicate the relevant issues to all his students.  He is constantly pushing himself, studying to keep up to date. Since being taught by Zac, I follow his posts on several sites, and see all the work that he still puts into teaching and learning.  As he says ‘Never stop learning’.”

Kickstart your new career

Where ever you are in the UK there are more STT schools offering the BTEC Level 5 Professional Diploma in Soft Tissue Therapy.  Take a look at the ISRMwebsite for all the schools and their locations. .

Contact Us today!

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